| NPI | 1407491822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA22369) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 030084-01) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2024-06-12 |